Ko. Hicks et al., EXTRAVASCULAR DIFFUSION OF TIRAPAZAMINE - EFFECT OF METABOLIC CONSUMPTION ASSESSED USING THE MULTICELLULAR LAYER MODEL, International journal of radiation oncology, biology, physics, 42(3), 1998, pp. 641-649
Citations number
34
Categorie Soggetti
Oncology,"Radiology,Nuclear Medicine & Medical Imaging
Purpose: Hypoxia-selective cytotoxic agents, like tirapazamine (TPZ),
must diffuse considerable distances in tumors to reach their target ce
ll population. This study uses a new three-dimensional tissue culture
model, in which cells are grown as multicellular layers (MCL), to inve
stigate whether metabolic consumption of TPZ is sufficiently rapid to
compromise its extravascular diffusion in tumors. Methods and Material
s: V79-171b and MGH-U1 cells were grown as MCL to thicknesses of appro
ximately 120 and 360 mu m respectively. The extent of hypoxia in MCL,
as assessed by EF5 binding, was modulated by altering gas-phase O-2 co
ntent, and flux of TPZ through MCL was investigated by high-performanc
e liquid chromatography (HPLC). Data were fitted to a diffusion-reacti
on mathematical model to determine the diffusion coefficient of TPZ in
the MCL (D-M) and the rate of its metabolic consumption under anoxia.
These parameters were used to simulate TPZ transport in tumors. Resul
ts: The flux of TPZ through well-oxygenated MCL (equilibrated with 95%
O-2) was well fitted as Fickian diffusion without reaction, with a D-
M of 7.4 x 10(-7) cm(2) s(-1) (12-fold lower than in culture medium) f
or V79 and 1.3 x 10(-6) cm(2) s(-1) for MGH-U1 MCL. Flux of TPZ was su
ppressed under anoxia, and fitting the data required inclusion of a re
action term with a rate constant for metabolic consumption of TPZ of 0
.52 min(-1) for V79 and 0.31 min(-1) for MGH-U1 MCL. These transport p
arameters would translate into a 43% or 30% decrease respectively in T
PZ exposure, as a result of drug metabolism, in the center of a slab o
f anoxic tissue 100 mu m in thickness. Conclusions: MCL cultures provi
de an in vitro model for investigating the interaction between metabol
ic consumption and diffusion of bioreductive drugs. If rates of diffus
ion and metabolism similar to those measured in V79 and MGH-U1 MCL app
ly in tumors, then cells in large confluent regions of hypoxia would b
e partially protected by failure of TPZ penetration. Simulation of ext
ravascular transport of TPZ-like bioreductive drugs demonstrates that
the optimum metabolic rate constant is determined by two competing req
uirements: it should be high enough to ensure potent cytotoxicity unde
r hypoxia, yet low enough that penetration is not severely compromised
. (C) 1998 Elsevier Science Inc.